CONGENITAL RADIOULNAR SYNOSTOSIS; A NEW OPERATIVE TECHNIQUE FOR OBTAINING FUNCTIONAL SUPINATION – PRONATION RANGE, A SERIES OF ELEVEN CASES

A.S. Allam

doi:10.1302/1358-992X.94BSUPP_XXIV.BSCOS-BLRS2011-015

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Children's Orthopaedics

CONGENITAL RADIOULNAR SYNOSTOSIS; A NEW OPERATIVE TECHNIQUE FOR OBTAINING FUNCTIONAL SUPINATION – PRONATION RANGE, A SERIES OF ELEVEN CASES

British Society for Children's Orthopaedic Surgery (BSCOS) and British Limb Reconstruction Society (BLRS)

A.S. Allam

CONGENITAL RADIOULNAR SYNOSTOSIS; A NEW OPERATIVE TECHNIQUE FOR OBTAINING FUNCTIONAL SUPINATION – PRONATION RANGE, A SERIES OF ELEVEN CASES

Allam A. CONGENITAL RADIOULNAR SYNOSTOSIS; A NEW OPERATIVE TECHNIQUE FOR OBTAINING FUNCTIONAL SUPINATION – PRONATION RANGE, A SERIES OF ELEVEN CASES. Orthop Procs. 2012;94-B(SUPP_XXIV):15-15. doi:10.1302/1358-992X.94BSUPP_XXIV.BSCOS-BLRS2011-015

Allam, A.S.. “CONGENITAL RADIOULNAR SYNOSTOSIS; A NEW OPERATIVE TECHNIQUE FOR OBTAINING FUNCTIONAL SUPINATION – PRONATION RANGE, A SERIES OF ELEVEN CASES.” Orthopaedic Proceedings, vol. 94-B, no. SUPP_XXIV, 2012, pp. 15-15., https://doi.org/10.1302/1358-992X.94BSUPP_XXIV.BSCOS-BLRS2011-015

Allam, A. (2012). CONGENITAL RADIOULNAR SYNOSTOSIS; A NEW OPERATIVE TECHNIQUE FOR OBTAINING FUNCTIONAL SUPINATION – PRONATION RANGE, A SERIES OF ELEVEN CASES. Orthopaedic Proceedings, 94-B(SUPP_XXIV), 15-15. https://doi.org/10.1302/1358-992X.94BSUPP_XXIV.BSCOS-BLRS2011-015

Allam, A. (2012) “CONGENITAL RADIOULNAR SYNOSTOSIS; A NEW OPERATIVE TECHNIQUE FOR OBTAINING FUNCTIONAL SUPINATION – PRONATION RANGE, A SERIES OF ELEVEN CASES.” Orthopaedic Proceedings, 94-B(SUPP_XXIV), pp. 15-15. Available at: https://doi.org/10.1302/1358-992X.94BSUPP_XXIV.BSCOS-BLRS2011-015

Allam, A.S. “CONGENITAL RADIOULNAR SYNOSTOSIS; A NEW OPERATIVE TECHNIQUE FOR OBTAINING FUNCTIONAL SUPINATION – PRONATION RANGE, A SERIES OF ELEVEN CASES.” Orthopaedic Proceedings 94-B, no. SUPP_XXIV (2012): 15-15. https://doi.org/10.1302/1358-992X.94BSUPP_XXIV.BSCOS-BLRS2011-015

Allam A. CONGENITAL RADIOULNAR SYNOSTOSIS; A NEW OPERATIVE TECHNIQUE FOR OBTAINING FUNCTIONAL SUPINATION – PRONATION RANGE, A SERIES OF ELEVEN CASES. Orthop Procs. 2012 May 1;94-B(SUPP_XXIV):15-15. https://doi.org/10.1302/1358-992X.94BSUPP_XXIV.BSCOS-BLRS2011-015

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Abstract

Background

CRUS is difficult to treat. Many techniques have been tried in an effort to restore forearm rotation; however, they have not been successful. It is inadvisable by many authors to perform any operation with the hope of obtaining pronation and supination.

Patients and Methods

Eleven children; 3 - 8 years old with CRUS, Wilkie type I, with fixed full pronation deformity were managed by the new ALLAM'S OPERATION which is a one stage intervention including separation of the bony fusion, special cementation technique of the ulnar (or radial) side of the osteotomy, double osteotomy of the radius and a single osteotomy of the ulna (all of the 3 osteotomies were done percutaneously) with intramedullary K. wire fixation of osteotomies at the mid-prone position and above elbow cast application for 6 weeks.

Results

Excellent significant functional range of forearm rotation was obtained with no significant complications after a follow-up period of 3 – 4 y. (average: 3.2 m).

Summary

The new ALLAM'S OPERATION is a one stage intervention for CRUS, (Wilkie type I, with fixed full pronation deformity) with significant obtained active functional range of forearm rotation with no significant complications after an average follow-up period of more than 3 years.